IOncology

Following the clinical success and approval of disitamab vedotin (RC48) plus toripalimab in locally advanced or metastatic urothelial carcinoma, attention has shifted toward improving outcomes for patients with muscle-invasive bladder cancer (MIBC) in the perioperative setting, where substantial unmet clinical needs remain.

At the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, the treatment landscape for ALK-positive non-small cell lung cancer (NSCLC) continued to evolve, with major updates from landmark studies including CROWN, ALKOVE-1, and TRIDENT-1 reshaping global competition among ALK inhibitors.

the field of breast cancer, Triple-Negative Breast Cancer (TNBC) has become a clinical challenge due to its high aggressiveness and lack of effective targets. Although the KEYNOTE-522 study established the standard status of Immune Checkpoint Inhibitors (ICI) combined with chemotherapy in perioperative TNBC, high-risk patients with lymph node-positive and T3/T4 stage disease still face a high risk of recurrence. Recently, Professor Alice Y. Ho from Duke University reported the latest results of the TBCRC-053 (P-RAD) study at an academic conference. This study explores the clinical value of preoperative radiotherapy as an "Immune Primer" combined with Pembrolizumab and chemotherapy in high-risk TNBC.

At the recent American Society of Clinical Oncology (ASCO) Annual Meeting, Professor Anees B. Chagpar, a Professor of Surgery at the Yale School of Medicine, delivered an important special report titled "Does resection of cavity shave margins impact survival in breast cancer patients?". Based on the famous SHAVE and SHAVE2 randomized controlled trials, the report explored the advantages of Cavity Shave Margins (CSM) in breast-conserving surgery (BCS) regarding the reduction of positive margin rates and re-excision rates. For the first time, it disclosed detailed long-term impacts on patients' 5-year local recurrence (LR) rates, disease-free survival (DFS), and overall survival (OS), providing key evidence-based support for treatment de-escalation and multi-modal synergy in the field of breast surgery.

Triple-negative breast cancer (TNBC) has always been a challenge in clinical treatment due to its high heterogeneity, high risk of recurrence, and poor prognosis. For patients with first-line (1L) advanced TNBC who are not eligible for immune checkpoint inhibitors (PD-1/L1 inhibitors), the benefits of traditional single-agent chemotherapy are limited. The emergence of antibody-drug conjugates (ADCs) has brought new hope to this population. As the world's first approved ADC targeting Trop-2, Sacituzumab Govitecan (SG) has already demonstrated significant advantages in advanced TNBC patients who failed multiple prior lines of therapy (ASCENT study). At a recent academic conference, Professor Carlos H. Barrios from the PUCRS School of Medicine in Porto Alegre, Brazil, presented the latest biomarker subgroup analysis from the ASCENT-03 study. This analysis deeply explored the differences in efficacy between SG and chemotherapy in the first-line setting across different Trop-2 expression levels, BRCA mutation statuses, and HER2 expression statuses. This article summarizes its core academic content to provide clinical physicians with a basis for decision-making in precision therapy.

In June 2026, China's National Medical Products Administration (NMPA) approved iza-bren (brand name: Yizekang®; generic name: Loncastuximab Eglonatamab), a first-in-class EGFR×HER3 bispecific antibody-drug conjugate (ADC) independently developed by Biokin Pharmaceutical. The approval is for the treatment of patients with relapsed or metastatic nasopharyngeal carcinoma (NPC) following prior therapy.

At the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, Professor Ciara Catherine O'Sullivan from Mayo Clinic, representing the I-SPY 2.2 collaborator group, announced the neoadjuvant treatment results of Rilvegostomig (an anti-PD-1/TIGIT bispecific antibody) combined with Trastuzumab Deruxtecan (T-DXd) for early-stage high-risk HER2-negative breast cancer. Based on innovative Response Predictive Subtypes (RPS), the study aims to improve the pathological complete response (pCR) rate through precise drug combinations and explore the possibility of reducing traditional cytotoxic chemotherapy.

At a recent international academic conference on breast cancer, Professor Claudio Vernieri from the University of Milan and the Fondazione IRCCS Istituto Nazionale dei Tumori shared the latest results of the multicenter, real-world study PALMARES-2. The study focuses on patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer (ABC). It explores the clinical benefits and patient characteristics associated with continuing the original treatment regimen ("Treatment Beyond Progression," TBP) after experiencing disease progression (PD) on first-line endocrine therapy (ET) combined with a CDK4/6 inhibitor (CDK4/6i), providing an important reference for the TBP strategy in clinical practice.

In the evolution of treatment for Multiple Myeloma (MM), moving highly effective therapies forward to the early stages of the disease has become a current research hotspot. For patients with High-Risk Smoldering Multiple Myeloma (HR SMM), whether early active intervention can delay or even prevent its transformation into active myeloma is a focus of clinical attention. At a recent international academic conference, Professor Cyrille Touzeau from the University Hospital of Nantes in France shared the preliminary results of the ERASMM (EMN34) study. This study aimed to evaluate the safety and efficacy of the BCMA×CD3 bispecific antibody Elranatamab in patients with HR SMM. This journal has specially compiled the highlights of the conference for our readers.

In the field of relapsed/refractory classical Hodgkin lymphoma (R/R cHL), although the application of immune checkpoint inhibitors (such as anti-PD-1) and antibody-drug conjugates (such as Brentuximab Vedotin, BV) has significantly improved patient prognosis, clinical challenges remain severe for patients who fail multiple lines of therapy. Recently, at an international academic conference, Professor Enrico Derenzini, on behalf of the PRIMAVERA research team, shared the Phase I study results of the PRMT5 inhibitor AZD3470 in patients with R/R cHL. This journal has summarized the key points of the meeting to provide a deep analysis of this innovative therapy targeting MTAP deficiency and utilizing the "synthetic lethality" mechanism, representing a latest breakthrough in the field of hematologic malignancies.